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Jaines Cu <br />Patricia E.v , �y. <br />Anihonafte Van Spronmm <br />Ead tel <br />Fern Bu9bee <br />Daniel L. F <br />Join D. Mast, M.D. <br />W1111on J. Waft <br />Mary Anna Low <br />Facility Name <br />Joel Khanna, M.D., M.P.H., District Health Officer <br />Date of Inspection Inspector <br />&ERVING <br />City Of Lodi <br />San Joaquin county <br />City of Escalon <br />city of Mont <br />City of Ripon <br />city Of stc5kjon <br />City of Tracy <br />San Joaquin County <br />San Joaquin county <br />MONITORING ALTERNATIVE #5 <br />V Annual precision test on tank(s) and piping. <br />_Daily -inventory reconciliation with submission ofuarterl stat <br />compliance with allowable variation. q y statement regarding <br />V Pipeline leak detectors on pressurized piping. <br />Daily operational check of suction piping function. <br />Calibrated meters for inputs and withdrawals: <br />Weights and Measures sticker <br />qualifiedCertification by repairmal <br />Implementation of this.monitoring alternative requires that the following CIRCLED items <br />be completed by the specified dates. <br />Precision test(s) must be performed by J jS— �j�and results submitted to <br />this office within 30 days of the test. <br />Pipeline leak detectors must be installed on pressurized piping by <br />pDaily inventory reconciliation must be started immediately, with records maintained <br />at the facility for review. <br />4. Document daily check of suction piping function starting immediately. <br />U5 Submit quarterly statement to this office that allowable variation on inventory <br />reconciliation has not been exceeded or a list of date <br />nd variations that <br />exceeded allowable.* The first statement is due by )u YLt, ? <br />6. Dispenser meter(s) must be calibrated by ►`j - E3_7L with copy of <br />certification or Weights and Measures sticker number submitted to this office. <br />If the above compliance dates cannot be met, contact this office prior to the specified <br />date. <br />* If allowable daily inventory variation is exceeded, refer to Section 2644(f) for <br />required actions. <br />3-86 SGT 1 <br />